gastro ./ lower gastrointestinal bleeding
Gastro-oesophageal Reflux, Factors That Determine It And Treatments By Groshan Fabiola Gastro-oesophageal reflux is a condition that appears if the lower oesophageal sphincter is abnormally relaxed. Because of the abnormally relaxed oesophageal sphincter, stomach's acidic contents can reflux into the gullet. This fact can also provoke heartburn, and if this happens daily, you must contact your doctor in order to receive medical care and advices.
Repeated episodes of gastro-oesophageal reflux can cause oesophagitis, which is the inflammation of the inner lining of the oesophagus. Gastro-esophageal reflux oesophagitis usually comes with symptoms like a burning or a painful sensation in the upper abdomen or chest, that sometimes radiates to the back, some patients can have breathing difficulties and suffer from hoarseness, and also excess belching can appear.
It was observed that gastro-oesophageal reflux appears especially after eating a large or fatty meal, drinking alcohol, lying down, bending over or bending and lifting. Usually, symptoms occur rarely, but there are also cases when they appear weekly, or even daily. It is also known that smoking makes the gastro-oesophageal reflux to become much worse.
Gastro-oesophageal reflux can have a great influence in our lifestyle, the quality of our life can become lower. This disease can provoke oesophagitis if you are exposed for a long time to refluxed acid, and also, if oesophagitis lasts for a long time, it will lead to complications. There can appear a scar-tissue that contracts and a narrowing will come in the affected part of the oesophagus. Of course, this is a grave situation, the patient will have great difficulties when we wants to swallow, or he will not be able to swallow at all. He will need immediately medical care, but fortunately, this complication is rare.
The oesophageal sphincter, which is the muscular ring situated near the diaphragm, at the lower end of the oesophagus is functioning as one-way valve. It has the role to prevent stomach contents from flowing upward. When the sphincter is not working properly, stomach acid will flow into the oesophagus. It is not known the exact cause of gastro-oesophageal reflux apparition, but there are a few conditions that surely contribute to this problem.
If the patient has an overweight problem, the excessive fat in the abdominal cavity makes the pressure inside it to increase. That determines the contents of the stomach to travel up into the gullet. Hiatus hernia is also a problem that can
lead to gastro-oesophageal reflux apparition. The oesophagus remains open because the diaphragm is not closing the lower end, and stomach acid will enter into the oesophagus. In pregnancy, the uterus increases in size, it presses the stomach ,and the possibility of the reflux to come grows.
You should avoid tobacco, some foods like peppermint, coffee, fruit juices, chocolate and alcohol, and also you must take in consideration that lying down makes the reflux tendency to increase.
Usually, the symptoms of gastro-oesophageal reflux are obvious, so no tests are needed, but the doctor can perform some tests if he has doubts. For example, he can perform a gastroscopy, or can measure the acidity in the lower end of the oesophagus during a 24-hour period. There exists another method too, used only in complicated cases, and that is called oesophageal manometry.
If you want to reduce the risk of developing reflux, you should stop smoking, drink less coffee and alcohol, avoid high-fat meals, and try to lose weight if it is necessary. If you do not have frequent symptoms, you can treat with antacids and histamine antagonists, no medical attention being needed, but if symptoms are very unpleasant, and the heartburn is frequent, you must go to the doctor at once.The doctor will determine if there are necessary some tests, or if you need stronger medication.
Usually antacids successfully have effect in controlling the symptoms, but if antacid medication fails, the doctor will prescribe medicines called histamine H2 antagonists, and next , if it is needed, proton pump inhibitors. There exist also a small number of cases that require laparoscopical procedure, where the oesophageal sphincter is strengthened. Article Source: http://www.articlemap.com For more resources about acid reflux or especially about acid reflux treatment please click this link www.acid-reflux-info-guide.com/acid-reflux-treatment.htm
More or fewer, many or less
At Chez Boca,
Bunny is the prescriptivist in the household,
and I the descriptivist.
So while ?Grammar rules you can stop sticking to? meshed with my biases,
Bunny remained unconvinced with a small exception towards not ending a sentence with a preposition.
But the majority of our discussion centered around the use of ?fewer? and ?less.?
The rule Bunny was taught was to use ?fewer? for a countable number of items and ?less? for uncountable or fungible items.
For example,
we have fewer cookies around here because we had less flour to make them
(I originally ended this sentence with ?to work with? but I wanted to avoid ending with a preposition).
I always say ?less? but I suspect this has less to do with my descriptivism and more to do with programming,
where x < 3 is translated to ?x is less than three.?
It just seems weird to say ?x is fewer than three,?
despite most numbers on a computer system being countable,
if potentially large
(the only exceptions would be ±inifinty and NaN).
I also wondered about the opposites of ?fewer? and ?less.?
When I asked Bunny for the opposite for ?fewer? she said ?more,?
and when asked for the opposite of ?less? she also said ?more.?
To her,
the word ?more? could be applied to either countable items,
like ?I need more cookies,?
and for fungible items,
like ?I need more flour.?
But that struck me as odd?why separate words for ?a smaller number or amount of? and not for ?a greater number or amount of??
Why does ?more? get a pass for both concepts,
and not something like ?many? for countable items,
and ?more? for fungible items?
Why the rule for ?less? and ?fewer??
I need many cookies,
and I need more flour to make them.
After our discussion,
I thought about this for a bit.
While Robert Baker made this distinction in 1770
(per the video),
I have to wonder why he felt the distinction needed to be made,
applying ?fewer? to numbers rather than ?less.?
At first,
I thought it may have something to do with the Norman conquest of England.
As my 1924 copy of Roget's Treasury Of Words says: ?[i]t is interesting to note that the French names for different kinds of food became restricted to the cooked meats;
while the English names were reserved for the living animals.?
It also noted the act of word doubling?using both the Norman-French and Saxxon terms,
such as humble and lowly,
poor and needy,
act and deed,
aid and abet,
use and wont,
will and testament,
and
assault and battery.
Could this be a reason for the distinction between ?fewer? and ?less??
It's not due to the Norman invasion that's for sure.
While looking
through my copy of the Oxford English Dictionary,
I found the word ?less? is an Old English word from Northumbria,
having been a word in both Old Frisian and Old Teutonic.
The usage meaning ?smaller quantity? didn't first appear until 1314.
And as Oxford states,
the opposite is ?more.?
The word ?few? is also an Old English word,
also in Old Frisian and Old Teutonic but importantly,
not from Northumbria!
It's meaning of ?smaller quantity? or ?a small number? is documented from around 900,
and it's ?antithesis?
(as Oxford calls it) is ?many!?
How about that?
But I'm now of the opinion that Robert Baker wanted to signal he wasn't part of the hoi polloi and came up with a pointless distinction.
Bunny remains unconvinced of my theory.
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DOES> RECURSE doesn't DOES> RECURSE does't DOES> RECURSE ?
Recursion in Forth isn't as straitforward as you would think.
The obvious:
: FOO ... FOO .. ;
doesn't work.
It will either error out as FOO isn't found,
or it will call the previous definition of FOO if it exists.
This is a quirk of Forth,
and it one reason why globals aren't as much of an issue as they are in other languages?if you define the word REPEAT it won't break existing code that called REPEAT ,
they will just keep using the old version of REPEAT while new words will use the new version.
In fact,
the ANS Forth standard says as much: ?The current definition shall not be findable in the dictionary until [colon] is ended.?
Thus the reason for the word RECURSE ,
an immedate word
(which is run durring compilation, not compiled)
to exist in Forth?to do recursion.
This was an easy word to implement:
forth_core_recurse ; ( -- )
fdb forth_core_r_fetch
fdb _IMMED | _NOINTERP :: .xt - .name
.name fcc "RECURSE"
.xt fdb .body
.body ldx forth__here ; get current comp location
ldd forth__create_xt ; get xt of current word
std ,x++ ; recurse
stx forth__here
ldx ,y++ ; NEXT
jmp [,x]
So the above would be written as:
: FOO ... RECURSE ... ;
And the resulting code would look like:
foo fdb ...
fdb .xt - .name
.name fcc "FOO"
.xt fdb forth_core_colon.runtime
.body fdb dot_dot_dot.xt
fdb foo.xt ; FOO's xt
fdb dot_dot_dot.xt
fdb forth_core_exit.xt
The only reason I'm mentioning this word is because of this bit from the Standard:
?An ambiguous condition exists if RECURSE appears in a definition after DOES> .?
There's a reason for that?depending upon the implementation,
it may be impossible to do recursion after DOES> .
Why?
In my Forth implementation,
the code following DOES> doesn't have an xt to reference.
The xt of any word is the address of the .xt field.
So using the example from my explaination of DOES> ,
the xt of MAN would be of its .xt field:
man fdb shape ; link to next word
fdb .xt - .name
.name fcc 'man'
.xt fdb shape.does ; the XT of this word is this address
.body fcb $24
fcb $24
fcb $24
fcb $99
fcb $5A
fcb $3C
fcb $18
fcb $18
But the problem is?that address doesn't exist until the word is defined!
If,
for example,
the definition of SHAPE used RECURSE :
: SHAPE CREATE 8 0 DO C, LOOP
DOES> ... RECURSE ... ;
when RECURSE is executed,
there is no xt for it to use.
We can't use the xt for SHAPE ?that's not the word we want to recurse on.
And we can't use the address of shape.does
because that's not an actual xt.
And the code following DOES> can be shared by multiple words:
... SHAPE MAN
... SHAPE FACE-HUGGER
... SHAPE ALIEN
... SHAPE FLAME-THROWER
so there's no single xt that RECURSE could use when compiling the code after DOES>
(never mind the fact that that happens before the words that use the code are created).
So,
in my Forth implementation,
no RECURSE after DOES> .
Which is fine,
because it's an ambiguous condition.
Could I make it work?
Maybe.
But it would be a lot of work for a feature that Forth programmers can't rely upon anyway.
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